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<title>Darryl L. Millis</title>
<copyright>Copyright (c) 2013  All rights reserved.</copyright>
<link>http://works.bepress.com/darryl_millis</link>
<description>Recent documents in Darryl L. Millis</description>
<language>en-us</language>
<lastBuildDate>Tue, 07 May 2013 01:35:49 PDT</lastBuildDate>
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<title>Effect of extracorporeal shock wave therapy on elbow osteoarthritis in dogs</title>
<link>http://works.bepress.com/darryl_millis/17</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/17</guid>
<pubDate>Sun, 05 May 2013 15:50:53 PDT</pubDate>
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<author>Darryl Millis et al.</author>


<category>Abstracts and Proceedings</category>

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<title>Results of arthroscopic versus open arthrotomy for surgical management of cranial cruciate ligament deficiency in dogs</title>
<link>http://works.bepress.com/darryl_millis/16</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/16</guid>
<pubDate>Sun, 12 Feb 2012 13:34:34 PST</pubDate>
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	<p>Objective— To evaluate postoperative morbidity in dogs after experimental cranial cruciate ligament transection and immediate stifle stabilization using an arthroscopically assisted or open arthrotomy technique.  Study Design— Experimental, prospective study.  Animals— Thirteen mature, healthy dogs.  Methods— Dogs were randomly assigned to 1 of 2 groups. Seven underwent open arthrotomy while 6 underwent arthroscopy of 1 stifle joint. Cranial cruciate ligaments were transected and debrided and all stifles were stabilized using 2 lateral extracapsular fabellar-tibial sutures. Minimally invasive suture placement was employed in the arthroscopy group. All animals were evaluated for 9 weeks using kinetic gait assessments, comfortable stifle range of motion measurements, thigh girth measurements, differential cell counts of synovial fluid, and subjective scores of behavior, limb use, and lameness.  Results— Significant differences in postoperative morbidity were observed during the 9-week postoperative period. Greater peak vertical force for 8 weeks (P=.015), vertical impulse for 6 weeks (P=.044), comfortable stifle range of motion for 9 weeks (P=.017), comfortable stifle flexion for 4 weeks (P=.005), and operative limb thigh circumference (P=.020) for 9 weeks were observed for the arthroscopy group. A trend towards a lower differential mean synovial polymorphonuclear cell count in the arthroscopy group was seen at 4 and 8 weeks postoperatively. No differences in subjective evaluation scores were noted.  Conclusions— In this study population, significant differences were seen between the arthroscopy and arthrotomy groups for peak vertical force, vertical impulse, comfortable stifle range of motion, comfortable stifle flexion, and thigh circumference data.  Clinical Relevance— The results of this study suggest that short-term postoperative morbidity may be reduced in dogs receiving arthroscopic joint surgery with a limited approach for stifle stabilization as compared with a traditional open arthrotomy technique.</p>

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<author>Michael G. Hoelzler et al.</author>


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<title>Effect of deracoxib, a new COX-2 inhibitor, on the prevention of lameness induced by chemical synovitis in dogs</title>
<link>http://works.bepress.com/darryl_millis/15</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/15</guid>
<pubDate>Sun, 12 Feb 2012 13:34:33 PST</pubDate>
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	<p>Twenty-four healthy, mixed-breed hound-type dogs were evenly and randomly assigned to a placebo control group, one of four dosages of deracoxib (0.3, 1, 3, or 10 mg/kg), or carprofen (2.2 mg/kg). Oral dosing of placebo, carprofen, or deracoxib was done 30 minutes before intraarticular injection of urate crystal suspension for induction of synovitis. Ground reaction forces, subjective clinical lameness scores, pain, joint effusion, and quantitative pain threshold responses were measured in a blinded fashion before induction of synovitis and 2, 4, 6, 8, 12, and 24 hours after injection. The medium and high dosages of deracoxib were effective in preventing lameness and pain associated with synovitis. Carprofen was also somewhat effective in attenuating the severity of urate-induced synovitis but to a lesser degree than the medium dose of deracoxib. Preemptive deracoxib treatment at dosages as low as 1 mg/kg reduced lameness and pain of synovitis associated with intraarticular administration of urate crystals.</p>

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<author>Darryl L. Millis et al.</author>


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<title>Biomechanics of Rehabilitation</title>
<link>http://works.bepress.com/darryl_millis/14</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/14</guid>
<pubDate>Wed, 23 Nov 2011 14:16:48 PST</pubDate>
<description>
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	<p>Biomechanics may be defined as the application of the discipline of mechanics to biologic systems. Rehabilitation is a practice dedicated to the restoration of function to a body impaired by injury or disease. Because rehabilitation is focused on the form and motion of a system of interrelated parts, an appreciation for biomechanical theory and application is appropriate. This application provides a basis for understanding diagnostic and evaluation methods, treatment modalities, and pathologic effects of the affected musculoskeletal system. This article presents applicable mechanical theory, including the concepts of moment and lever systems; linear kinetics of ground reaction forces (GRFs), linear momentum and impulse determination; and angular kinematics of displacement, velocity, acceleration, momentum and impulse, work, energy, and power (Box 1). A description of muscle biomechanics, gait and motion analysis, and the mechanics of various therapeutic exercises is also presented.</p>

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<author>Joseph P. Weigel et al.</author>


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<title>Kinematic analysis of the pelvic limbs of healthy dogs during stair and decline slope walking</title>
<link>http://works.bepress.com/darryl_millis/13</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/13</guid>
<pubDate>Wed, 23 Nov 2011 14:16:46 PST</pubDate>
<description>
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	<p>Objectives: To evaluate range of motion (ROM) of the pelvic limb in healthy dogs descending stairs compared with decline slope walking.</p>
<p>Methods: Reflective spheres were placed on the skin over the joints of the right pelvic limb of seven adult, hound-type dogs with no clinical signs of orthopaedic or neurologic disease. Five trials of stair and ramp descent of each dog were recorded using four 60 Hz digital infrared cameras. Two-dimensional kinematic data were collected as dogs walked down stairs and on a continuous decline of equivalent slope. Maximum and minimum joint angles and ROM were calculated for the coxofemoral, femorotibial and tibiotarsal joints.</p>
<p>Results: Stair descent resulted in significantly greater femorotibial flexion and tibiotarsal flexion and extension compared with continuous slope descent. Significantly greater ROM was achieved in the coxofemoral, femorotibial and tibiotarsal joints during stair descent.</p>
<p>Clinical Significance: Compared with a continuous slope, stair descent achieves greater ROM in the pelvic limbs of dogs. Stair descent may be a useful therapeutic exercise to improve ROM in dogs with musculoskeletal disease of the pelvic limb, and ramp descent may be easier for dogs with limited motion of pelvic limb joints.</p>
<p>DOI: 10.1111/j.1748-5827.2010.00956.x</p>

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<author>R. P. Millard et al.</author>


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<title>Kinematics of stair ascent in healthy dogs</title>
<link>http://works.bepress.com/darryl_millis/12</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/12</guid>
<pubDate>Wed, 23 Nov 2011 14:16:45 PST</pubDate>
<description>
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	<p>Objective: The purpose of the study was to evaluate the kinematic characteristics of pelvic limb joints in orthopaedically normal dogs during stair ascent. Design: Prospective study. Procedure: Eight hound-type dogs were fitted with reflective spheres at palpable landmarks, including the tuber ischium, greater trochanter, cranial dorsal iliac spine, lateral epicondyle of the femur, lateral malleolus, and the base of the fifth metatarsal bone. Each dog was walked up a set of custom made stairs consisting of four steps and then trotted across a level test space. Data were recorded for the right and left pelvic limbs during ascent. Maximum and minimum joint angles and total joint motion were calculated for all joints and evaluated statistically. Results: Pelvic limb joints had a greater total joint excursion during stair ascent. There was greater extension of the coxofemoral and tibiotarsal joints during ascent, whereas the stifle joint had less extension. Maximum flexion of the stifle and tarsal joints was significantly greater in stair ascent. There was not any significant difference between the right and left limbs. Conclusions: All joints of the pelvic limb undergo a greater joint motion to ascend stairs.</p>
<p>DOI: http://dx.doi.org/10.3415/VCOT-10-03-0038</p>

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<author>April M. Durant et al.</author>


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<title>The use of cyclosporine-A in dogs with chronic osteoarthritis: A pilot study</title>
<link>http://works.bepress.com/darryl_millis/11</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/11</guid>
<pubDate>Wed, 23 Nov 2011 14:16:42 PST</pubDate>
<description>
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	<p>Objective: To evaluate the efficacy of cyclosporine-A in dogs with radiographic and physical evidence of chronic stifle osteoarthritis. Materials and methods: Ten hound-type dogs with osteoarthritis induced by surgical transection of a cranial cruciate ligament followed by immediate stabilization of the stifle four years prior to study start were randomized to two groups. Cyclosporine-A was administered orally once daily at 5 mg/kg to one group for one month while the other group served as control. After a two week wash-out period during which the animals were not treated, and the degree of lameness was allowed to return to baseline, the treatments were switched so that the second group received treatment with cyclosporine-A and the first group served as control. Ground reaction forces were measured using a force platform in all animals at day zero and then every two weeks until the end of the study. Results: Cyclosporine-A did not alter the degree of lameness based on assessment of ground reaction forces.Conclusions: At a dose of 5 mg/kg/day for 28 days, cyclosporine-A was not effective in decreasing lameness of dogs with chronic osteoarthritis induced by surgical transection of the cranial cruciate ligament.   DOI: http://dx.doi.org/10.3415/VCOT-10-07-0111</p>

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<author>C. H. de Mello Souza et al.</author>


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<title>Disease Conditions Affecting Bone Healing</title>
<link>http://works.bepress.com/darryl_millis/10</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/10</guid>
<pubDate>Fri, 26 Aug 2011 08:13:51 PDT</pubDate>
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<author>Darryl L. Millis</author>


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<title>Biomechanical comparison of three internal fixations for treatment of slipped capital femoral epiphysis in immature dogs</title>
<link>http://works.bepress.com/darryl_millis/9</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/9</guid>
<pubDate>Fri, 26 Aug 2011 08:07:42 PDT</pubDate>
<description>
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	<p>The biomechanical strength and stiffness of 3 fixation techniques used to repair acute slipped capital femoral epiphysis were evaluated in bone specimens from immature dogs. A servohydraulic testing machine was used to create slipped capital femoral epiphysis in 9 pairs of femurs by shearing the capital femoral epiphysis along the physis in a craniocaudal direction. The slip was reduced and repaired with 1, 2, or 3 double-pointed, 1.6-mm (0.062-inch) smooth pin(s) and retested. The strength and stiffness of each intact femur (which served as the control) and repaired femur were compared. Results of the study indicated that differences among the failure strengths of 1- and 2-pin fixations and their respective controls were not significant; however, the 3-pin fixation was 29% stronger than its control and was 60 and 45% stronger than the 1- and 2-pin fixations, respectively. One- and 2-pin fixations were 34 and 24% less stiff than their respective controls, whereas the stiffness of the 3-pin fixation was similar to its control. The 2- and 3-pin fixations were 48 and 76% stiffer, respectively, than the 1-pin fixation, but were not significantly different, compared with each other.</p>

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<author>S. M. Belkoff et al.</author>


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<title>Biomechanical comparison of 1-screw and 2-divergent pin internal fixations for treatment of slipped capital femoral epiphysis, using specimens obtained from immature dogs</title>
<link>http://works.bepress.com/darryl_millis/8</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/8</guid>
<pubDate>Fri, 26 Aug 2011 08:04:22 PDT</pubDate>
<description>
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	<p>Biomechanical strength and stiffness of 2 fixation treatments used to repair acute slipped capital femoral epiphysis were evaluated in bone specimens form immature dogs. A servohydraulic testing machine was used to create slipped capital femoral epiphysis in 7 pairs of femurs by shearing the capital femoral epiphysis along the physis in a craniocaudal direction. The slip was reduced and repaired with one 3.5-mm-diameter screw placed in lag fashion or 2 double-pointed, 1.6-mm (0.062 inch)-diameter smooth pins and retested. Strength and stiffness of each intact femur (which served as the control) and repaired femur were compared. Results of the study indicated that the failure strength of 2-pin fixation was significantly (P < 0.05) weaker than its control and the 1-screw fixation. There was no significant difference between failure strength of the 1-screw fixation and its control. The stiffness of 1-screw and 2-pin fixations was not significantly different, compared with each other, but was significantly (P < 0.05) less, compared with their respective controls.</p>

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<author>S. M. Belkoff et al.</author>


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<title>Metabolic and histologic effects of recombinant canine somatotropin on bone healing in dogs, using anunstable ostectomy gap model</title>
<link>http://works.bepress.com/darryl_millis/7</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/7</guid>
<pubDate>Fri, 26 Aug 2011 07:59:19 PDT</pubDate>
<description>
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	<p>OBJECTIVE: To investigate the effect of recombinant canine somatotropin (STH) on the metabolic and histologic aspects of bone healing in dogs, using an unstable ostectomy gap model.</p>
<p>ANIMALS: 8 mature dogs.</p>
<p>PROCEDURE: A 3-mm ostectomy of the mid portion of the radius was performed in all dogs. Implants designed to release STH at a rate of 4 mg/d were placed SC in 4 dogs (treated group [STHG]), and another 4 dogs received no implants (control group [CG]). Serum concentrations of STH, insulin-like growth factor I, and osteocalcin were determined before surgery, and weekly for 8 weeks. Scintigraphic evaluation of the ostectomy sites was performed before surgery, and at weeks 2, 4, 6, and 8 after surgery. Histologic evaluation ofthe ostectomy sites was performed at the conclusion of the study at week 8.</p>
<p>RESULTS: Significant (P < 0.05) increases in serum STH, insulin-like growth factor I, and osteocalcin concentrations were observed in dogs of the STHG during the 8-week study period. Scintigraphic activity of the ostectomy sites was increased in dogs of both groups, but dogs of the STHG had significantly (P < 0.05) greater activity, compared with dogs of the CG. Coalescence of nuclear activity across the ostectomy site was observed in dogs of the STHG, whereas dogs of the CG maintained 2 distinct areas of metabolic activity. Histologically, dogs of the STHG had bridging calluses with areas of endochondral ossification and ongoing osteogenic activity, whereas dogs of the CG had nonossified fibrocartilage typical of nonunion fractures.</p>
<p>CONCLUSION: Using the ostectomy gap model, recombinant canine STH enhanced the metabolic and histologic aspects of bone healing in dogs.</p>

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<author>B. E. Wilkens et al.</author>


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<title>Determination of Safe Depth of Pin Penetration for Repair of Distal Femoral Physeal Fractures in Immature Dogs: A Comparison of Normograde and Retrograde Pin Placement</title>
<link>http://works.bepress.com/darryl_millis/6</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/6</guid>
<pubDate>Fri, 26 Aug 2011 07:51:10 PDT</pubDate>
<description>
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	<p>Objective—The purpose of this study was to determine the depth that implants may be safely placed into the distal femoral epiphysis (DFE) for the repair of distal femoral physeal fractures.</p>
<p>Study Design—The depth of the DFE was related to the radiographic thickness of the patella in this experimental study.</p>
<p>Animals or Sample Population—Twenty immature canine cadavers.</p>
<p>Methods—Patella thicknesses were measured from lateral radiographs. Actual DFE depths were determined for pins driven in normograde fashion and for pins driven retrograde from the central depression between the metaphyseal pegs and from the cranial pegs. The association of DFE depth and patella thickness was evaluated using linear regression analysis. Using 95% confidence intervals, rules for estimating the safe depth of implant placement into the DFE were determined.</p>
<p>Results—DFE depth had significant correlation with patella thickness for pins placed in retrograde fashion from the central depression between the metaphyseal pegs (r<sup>2</sup>= .83) and from the cranial pegs (r<sup>2</sup>= .82) and for pins placed in normograde fashion (r<sup>2</sup>= .65).</p>
<p>Conclusions—Based on 95% confidence intervals, pins placed in retrograde fashion from the central depression between the metaphyseal pegs may be safely driven into the DFE a distance equal to 140% of patella thickness. Pins placed from the cranial metaphyseal pegs may be driven to a depth equal to 80% of patella thickness, and pins placed in normograde fashion may be driven to a depth equal to 30% of patella thickness.</p>
<p>Clinical Relevance—Measurement of patella thickness assists the surgeon in determining the approximate depth that pins may be driven into the DFE without penetrating the articular surface of the stifle joint.</p>

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<author>Dragan Lorinson et al.</author>


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<title>The role of exercise and physical modalities in the treatment of osteoarthritis</title>
<link>http://works.bepress.com/darryl_millis/5</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/5</guid>
<pubDate>Fri, 26 Aug 2011 07:31:13 PDT</pubDate>
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	<p>Physical rehabilitation is a valuable and often underutilized part of the overall management of small animals with OA. A team consisting of the veterinarian, physical therapist, veterinary technician, and owner is vital to determine and carry out an appropriate therapeutic regimen. To maintain enthusiasm for the program, measurements should be regularly obtained to document progress. In addition, controlled studies should be performed to determine the degree of improvement that may be expected with physical rehabilitation programs.</p>

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<author>Darryl L. Millis</author>


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<title>Determination of Proximal Femoral Epiphyseal Depth for Repair of Physeal Fractures in Immature Dogs</title>
<link>http://works.bepress.com/darryl_millis/4</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/4</guid>
<pubDate>Fri, 26 Aug 2011 07:23:40 PDT</pubDate>
<description>
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	<p>Objective—To determine the depth that implants may be safely placed for repair of proximal femoral physeal fractures.</p>
<p>Study Design—Relationships were determined between the depth of the proximal femoral epiphysis (PFE) and the contralateral PFE, and the PFE and pubic bone width.</p>
<p>Animals or Sample Population—20 immature dog cadavers.</p>
<p>Methods—Actual PFE depths were determined at the center of the physeal surface and at four other eccentric points. The contralateral intact PFE depth and the width of the cranial aspect of the pubic bone were measured from radiographs.</p>
<p>Results—Mean ratios of actual central PFE depth to radiographically measured (1) contralateral PFE depth and (2) pubic bone width were 1.04:1 and 1.09:1, and ratios of actual eccentric PFE depths were 0.89:1 and 0.93:1. Body weight was not useful in estimating depth of the PFE.</p>
<p>Conclusions—For the central epiphysis, pins may safely be placed a distance equal to 75% to 80% of the contralateral intact PFE depth or pubic bone width, measured from a ventrodorsal radiograph, with minimal risk of penetration through the articular surface. Pins placed eccentrically may be safely driven a depth equal to 65% of the radiographically measured contralateral intact PFE depth or pubic bone width.</p>
<p>Clinical Relevance—Estimating the safe depth of implant placement into the PFE avoids penetration of the articular surface.</p>

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<author>Dragan Lorinson et al.</author>


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<title>Radiographic, Densitometric, and Biomechanical Effects of Recombinant Canine Somatotropin in an Unstable Ostectomy Gap Model of Bone Healing in Dogs</title>
<link>http://works.bepress.com/darryl_millis/3</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/3</guid>
<pubDate>Fri, 26 Aug 2011 07:05:17 PDT</pubDate>
<description>
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	<p>Objective—To determine the effect of recombinant canine somatotropin (STH) on radiographic, densitometric, and biomechanical aspects of bone healing using an unstable ostectomy gap model.</p>
<p>Study Design—After an ostectomy of the midshaft radius, bone healing was evaluated over an 8–week period in control dogs (n = 4) and dogs receiving recombinant canine STH (n = 4).</p>
<p>Animals or Sample Population—Eight sexually intact female Beagle dogs, 4 to 5 years old. Methods—Bone healing was evaluated by qualitative and quantitative evaluation of serial radiographs every 2 weeks. Terminal dual-energy x-ray absorptiometry and three-point bending biomechanical testing were also performed.</p>
<p>Results—Dogs receiving STH had more advanced radiographic healing of ostectomy sites. Bone area, bone mineral content, and bone density were two to five times greater at the ostectomy sites of treated dogs. Ultimate load at failure and stiffness were three and five times greater in dogs receiving STH.</p>
<p>Conclusions—Using the ostectomy gap model, recombinant canine STH enhanced the radiographic, densitometric, and biomechanical aspects of bone healing in dogs. Clinical Relevance—Dogs at risk for delayed healing of fractures may benefit from treatment with recombinant canine STH.</p>

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<author>Darryl L. Millis et al.</author>


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<title>Bone- and non-bone-derived growth factors and effects on bone healing</title>
<link>http://works.bepress.com/darryl_millis/2</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/2</guid>
<pubDate>Fri, 26 Aug 2011 06:42:50 PDT</pubDate>
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	<p>In the future, it may be possible to manipulate the fracture site with exogenous growth factors to allow successful union of the bone ends without additional surgery. The complex interaction of growth factors, the timing of their appearance and disappearance at the wound site, and the concentrations necessary to achieve specific effects must be studied more thoroughly. For growth factors to find widespread clinical use, there must be evidence that healing is enhanced. It may be difficult to enhance the healing of fresh fractures in normal animals, and it may also be difficult to demonstrate the healing of nonunion fractures. Because of the great variability in fractures of clinical patients, studies designed to determine the effect of growth factors on bone healing must be carefully designed with appropriate attention given to randomizing patients based on the risk of delayed healing and other patient characteristics.</p>

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<author>Darryl L. Millis</author>


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<title>Effects of 3.3-MHz Ultrasound on Caudal Thigh Muscle Temperature in Dogs</title>
<link>http://works.bepress.com/darryl_millis/1</link>
<guid isPermaLink="true">http://works.bepress.com/darryl_millis/1</guid>
<pubDate>Fri, 26 Aug 2011 06:31:27 PDT</pubDate>
<description>
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	<p>Objective— To examine the tissue-temperature changes that occur at various depths during 3.3-MHz ultrasound (US) treatments of the caudal thigh muscles in dogs.</p>
<p>Study Design— A prospective, randomized, experimental study.</p>
<p>Animals— Ten mixed-breed research dogs.</p>
<p>Methods— Two US treatments, one at an intensity of 1.0 W/cm<sup>2</sup> and one at 1.5 W/cm<sup>2</sup>, were administered to the caudal thigh region of 10 adult male and female hound-type dogs weighing 20.5 to 25.0 kg. Needle thermistors were inserted in the caudal thigh muscles below the skin surface at depths of 1.0, 2.0, and 3.0 cm, directly under the US treatment area. Both intensities of US treatment were performed on each dog over a 10-cm<sup>2</sup> area for 10 minutes using a sound head with an effective radiating area of 5 cm<sup>2</sup>. Treatments were administered in random order. Tissue temperature was measured before, during, and after US treatment until tissue temperature returned to baseline.</p>
<p>Results— At the completion of the 10-minute US treatment, the temperature rise at an intensity of 1.0 W/cm<sup>2</sup> was 3.0°C at the 1.0-cm depth, 2.3°C at 2.0-cm depth, and 1.6°C at 3.0-cm depth. At an intensity of 1.5 W/cm<sup>2</sup>, temperatures rose 4.6°C at the 1.0-cm depth, 3.6°C at 2.0-cm depth, and 2.4°C at 3.0-cm depth. Tissue temperatures returned to baseline within 10 minutes or sooner after treatment in all dogs.   Conclusions— This study demonstrates that significant heating occurs in the superficial thigh muscle of dogs during 3.3-MHz US.  Clinical Relevance— 3.3-MHz US can be used to increase superficial tissue temperature in dogs, although the amount of time that tissue temperature remains elevated is relatively short.</p>

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<author>David Levine et al.</author>


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